| NPI | 1457793127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W. PEDIGO President 708-220-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 0713996) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2025-05-12 |